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1205270618

NPI Code Detail

MEDICARE: DR. CAREY LOCKHART MD

MEDICARE: DR. CAREY LOCKHART MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	W2312	TX
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	35.098870	OH
3	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	MD60361911	WA
4	2080S0012X	Pediatric Sleep Medicine Physician	35.098870	OH
5	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	MD60361911	WA

General Provider Information

NPI Number	:	1205270618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAREY LOCKHART MD

Provider Business Mailing Address
First Line	:	14151 97TH AVE NE
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-0405
Country	:	US
Telephone Number	:	216-357-1134
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2013
Last Update Date	:	02/03/2026

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Directions to “ DR. CAREY LOCKHART MD” Practice Location

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